Form A1-Qrt - Arizona Quarterly Withholding Tax Return
ADVERTISEMENT
1
2305
Arizona Quarterly Withholding Tax Return
A1-QRT
310
B/D
Make checks payable to: Arizona Department of Revenue
Send to: Arizona Department of Revenue, PO Box 29009, Phoenix AZ 85038-9009
Failure to make payment may result in a 25% penalty in addition to other penalties and interest
required by law.
P/M
For certain taxpayers, Arizona law requires that withholding taxes be paid at the same time as federal withholding
deposits are due. (See Instructions)
State Withholding Number
Qtr
Year
Amended
Amount of Payment Enclosed
Cents
Dollars
Prior Payments Made for This Quarter
Cents
Dollars
Total Payments for This Quarter
Cents
Dollars
Check this box to cancel withholding account. Complete the explanation section on page 2. (See instructions).
Enter date final wages paid _________________________________________
Total Federal Income Tax Withheld This
Total Arizona
FEIN
Quarter For Arizona Employees (Without FICA)
Payroll This Quarter
A. Daily Tax Liability - 1st Month of Quarter (Semi-Weekly or One-Banking Day)
1
8
15
22
29
2
9
16
23
30
3
10
17
24
31
4
11
18
25
Check gray boxes for
5
12
19
26
one-banking day withholding
6
13
20
27
obligations only.
7
14
21
28
B. Daily Tax Liability - 2nd Month of Quarter (Semi-Weekly or One-Banking Day)
1
8
15
22
29
2
9
16
23
30
3
10
17
24
31
4
11
18
25
Check gray boxes for
5
12
19
26
one-banking day withholding
6
13
20
27
obligations only.
7
14
21
28
C. Daily Tax Liability - 3rd Month of Quarter (Semi-Weekly or One-Banking Day)
1
8
15
22
29
2
9
16
23
30
3
10
17
24
31
4
11
18
25
Check gray boxes for
5
12
19
26
one-banking day withholding
6
13
20
27
obligations only.
7
14
21
28
1st Month AA
Monthly Tax
Quarterly
Total Liability
2nd Month BB
Liability
Tax Liability
for Quarter
Z
3rd Month CC
DD
ADOR 64-1061 (99)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial